Organization
PRESTIGE TRANSIT PRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEDRIAN JAVON BLACKMON (CO-OWNER)
(919) 737-4409
Entity
Organization
Contact information
Practice address
2006 PHILLIPS AVE, GREENSBORO, NC 27405-5953
(919) 737-4409
Mailing address
2006 PHILLIPS AVE, GREENSBORO, NC 27405-5953
(919) 737-4409
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
—
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/19/2024
Last updated
06/04/2025
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